WO2003030988A3 - Lead system for providing electrical stimulation to the bundle of his - Google Patents

Lead system for providing electrical stimulation to the bundle of his Download PDF

Info

Publication number
WO2003030988A3
WO2003030988A3 PCT/US2002/033662 US0233662W WO03030988A3 WO 2003030988 A3 WO2003030988 A3 WO 2003030988A3 US 0233662 W US0233662 W US 0233662W WO 03030988 A3 WO03030988 A3 WO 03030988A3
Authority
WO
WIPO (PCT)
Prior art keywords
bundle
fixation helix
electrical stimulation
lead
septal wall
Prior art date
Application number
PCT/US2002/033662
Other languages
French (fr)
Other versions
WO2003030988B1 (en
WO2003030988A2 (en
Inventor
Jason Alinder
David A Casavant
Douglas N Hess
David A Grenz
Mike Freiborg
William J Clemens
Michael A Ruff
Original Assignee
Medtronic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic Inc filed Critical Medtronic Inc
Publication of WO2003030988A2 publication Critical patent/WO2003030988A2/en
Publication of WO2003030988A3 publication Critical patent/WO2003030988A3/en
Publication of WO2003030988B1 publication Critical patent/WO2003030988B1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/057—Anchoring means; Means for fixing the head inside the heart
    • A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)

Abstract

Methods and endocardial screw-in leads for enabling provision of electrical stimulation to the heart, particularly the His Bundle in the intraventricular septal wall. An endocardial screw-in lead having a distal end coupled to a retractable fixation helix wherein a distal portion of the fixation helix extends beyond the lead distal end when the fixation helix is fully retracted or partially extended is positioned in proximity to the His Bundle in the septal wall. The lead body is rotated to attach the distal portion of the fixation helix into the septal wall. The fixation helix is rotated with respect to the lead body to fully extend the fixation helix so that a portion of the fixation helix is in proximity to the His Bundle, enabling provision of electrical stimulation to the His Bundle and/or to sense electrical signals of the heart traversing the His Bundle through the fixation helix.
PCT/US2002/033662 2001-10-12 2002-10-07 Lead system for providing electrical stimulation to the bundle of his WO2003030988A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US32917201P 2001-10-12 2001-10-12
US60/329,172 2001-10-12

Publications (3)

Publication Number Publication Date
WO2003030988A2 WO2003030988A2 (en) 2003-04-17
WO2003030988A3 true WO2003030988A3 (en) 2003-05-22
WO2003030988B1 WO2003030988B1 (en) 2003-08-07

Family

ID=23284184

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/033662 WO2003030988A2 (en) 2001-10-12 2002-10-07 Lead system for providing electrical stimulation to the bundle of his

Country Status (2)

Country Link
US (1) US7027876B2 (en)
WO (1) WO2003030988A2 (en)

Families Citing this family (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090005845A1 (en) * 2007-06-26 2009-01-01 Tamir Ben David Intra-Atrial parasympathetic stimulation
US8615294B2 (en) * 2008-08-13 2013-12-24 Bio Control Medical (B.C.M.) Ltd. Electrode devices for nerve stimulation and cardiac sensing
US8565896B2 (en) 2010-11-22 2013-10-22 Bio Control Medical (B.C.M.) Ltd. Electrode cuff with recesses
US6842649B2 (en) 2001-12-14 2005-01-11 Cardiac Pacemakers, Inc. Snap-spin lead assembly and method therefor
US6937897B2 (en) 2002-09-30 2005-08-30 Medtronic, Inc. Electrode for His bundle stimulation
KR101085372B1 (en) * 2002-12-10 2011-11-21 가부시키가이샤 니콘 Exposure apparatus and method for manufacturing device
US8880192B2 (en) 2012-04-02 2014-11-04 Bio Control Medical (B.C.M.) Ltd. Electrode cuffs
US8718791B2 (en) 2003-05-23 2014-05-06 Bio Control Medical (B.C.M.) Ltd. Electrode cuffs
US8175702B2 (en) 2004-11-04 2012-05-08 The Washington University Method for low-voltage termination of cardiac arrhythmias by effectively unpinning anatomical reentries
US7720550B2 (en) * 2004-12-03 2010-05-18 Medtronic, Inc. High impedance active fixation electrode of an electrical medical lead
US8010192B2 (en) 2004-12-20 2011-08-30 Cardiac Pacemakers, Inc. Endocardial pacing relating to conduction abnormalities
AR047851A1 (en) 2004-12-20 2006-03-01 Giniger Alberto German A NEW MARCAPASOS THAT RESTORES OR PRESERVES THE PHYSIOLOGICAL ELECTRIC DRIVING OF THE HEART AND A METHOD OF APPLICATION
US8005544B2 (en) 2004-12-20 2011-08-23 Cardiac Pacemakers, Inc. Endocardial pacing devices and methods useful for resynchronization and defibrillation
US8050756B2 (en) 2004-12-20 2011-11-01 Cardiac Pacemakers, Inc. Circuit-based devices and methods for pulse control of endocardial pacing in cardiac rhythm management
US8014861B2 (en) 2004-12-20 2011-09-06 Cardiac Pacemakers, Inc. Systems, devices and methods relating to endocardial pacing for resynchronization
US8326423B2 (en) 2004-12-20 2012-12-04 Cardiac Pacemakers, Inc. Devices and methods for steering electrical stimulation in cardiac rhythm management
US8290586B2 (en) 2004-12-20 2012-10-16 Cardiac Pacemakers, Inc. Methods, devices and systems for single-chamber pacing using a dual-chamber pacing device
US8010191B2 (en) 2004-12-20 2011-08-30 Cardiac Pacemakers, Inc. Systems, devices and methods for monitoring efficiency of pacing
US8423139B2 (en) 2004-12-20 2013-04-16 Cardiac Pacemakers, Inc. Methods, devices and systems for cardiac rhythm management using an electrode arrangement
US7720438B2 (en) 2005-03-30 2010-05-18 Nokia Corporation Reducing power consumption of a short-range wireless communication reader associated with a mobile terminal
EP2471448A1 (en) 2005-10-14 2012-07-04 Nanostim, Inc. Leadless cardiac pacemaker and system
US8219213B2 (en) 2005-12-30 2012-07-10 Medtronic, Inc. Active fixation cardiac vein medical lead
US8068920B2 (en) * 2006-10-03 2011-11-29 Vincent A Gaudiani Transcoronary sinus pacing system, LV summit pacing, early mitral closure pacing, and methods therefor
US20080294229A1 (en) * 2006-10-17 2008-11-27 Friedman Paul A Helical Electrodes for Intramyocardial Pacing and Sensing
US7869867B2 (en) * 2006-10-27 2011-01-11 Cyberonics, Inc. Implantable neurostimulator with refractory stimulation
CA2673971C (en) 2006-11-13 2016-07-19 Washington University Of St. Louis Cardiac pacing using the inferior nodal extension
US8250753B2 (en) 2007-01-31 2012-08-28 St. Jude Medical Ab Method for manufacturing an active fixation electrode
US10166066B2 (en) 2007-03-13 2019-01-01 University Of Virginia Patent Foundation Epicardial ablation catheter and method of use
US11058354B2 (en) 2007-03-19 2021-07-13 University Of Virginia Patent Foundation Access needle with direct visualization and related methods
US9468396B2 (en) 2007-03-19 2016-10-18 University Of Virginia Patent Foundation Systems and methods for determining location of an access needle in a subject
EP2134253B1 (en) 2007-03-19 2022-01-26 University Of Virginia Patent Foundation Access needle pressure sensor device
US9211405B2 (en) 2007-03-22 2015-12-15 University Of Virginia Patent Foundation Electrode catheter for ablation purposes and related method thereof
FR2915087B1 (en) * 2007-04-20 2021-11-26 Corevalve Inc IMPLANT FOR TREATMENT OF A HEART VALVE, IN PARTICULAR OF A MITRAL VALVE, EQUIPMENT INCLUDING THIS IMPLANT AND MATERIAL FOR PLACING THIS IMPLANT.
US9114251B2 (en) * 2007-04-25 2015-08-25 St. Jude Medical Ab Medical implantable lead and a method for attaching the same
WO2009002239A1 (en) * 2007-06-28 2008-12-31 St. Jude Medical Ab Medical implantable lead and method for manufacturing the same
US20100241185A1 (en) 2007-11-09 2010-09-23 University Of Virginia Patent Foundation Steerable epicardial pacing catheter system placed via the subxiphoid process
US8560066B2 (en) 2007-12-11 2013-10-15 Washington University Method and device for three-stage atrial cardioversion therapy
US8874208B2 (en) 2007-12-11 2014-10-28 The Washington University Methods and devices for three-stage ventricular therapy
AU2008335087B2 (en) * 2007-12-11 2013-10-24 Washington University Of St. Louis Method and device for low-energy termination of atrial tachyarrhythmias
EP2224996B1 (en) * 2007-12-18 2014-05-07 St. Jude Medical AB Medical device for stimulation of his bundle
EP2526997B1 (en) 2008-04-15 2014-05-14 Cardiac Pacemakers, Inc. Bundle of His stimulation system
US8874237B2 (en) 2008-04-16 2014-10-28 Medtronic, Inc. Delivery catheter including side port and electrodes
US8688234B2 (en) 2008-12-19 2014-04-01 Cardiac Pacemakers, Inc. Devices, methods, and systems including cardiac pacing
US8527068B2 (en) 2009-02-02 2013-09-03 Nanostim, Inc. Leadless cardiac pacemaker with secondary fixation capability
US9072890B2 (en) 2009-09-03 2015-07-07 Mayo Foundation For Medical Education And Research Pacing, sensing or defibrillator leads for implantation into the myocardium
US9642534B2 (en) 2009-09-11 2017-05-09 University Of Virginia Patent Foundation Systems and methods for determining location of an access needle in a subject
CA2790328C (en) 2010-02-18 2017-04-18 University Of Virginia Patent Foundation System, method, and computer program product for simulating epicardial electrophysiology procedures
US8565880B2 (en) 2010-04-27 2013-10-22 Cardiac Pacemakers, Inc. His-bundle capture verification and monitoring
WO2011150958A1 (en) * 2010-05-31 2011-12-08 St. Jude Medical Ab Medical implantable lead
US9060692B2 (en) 2010-10-12 2015-06-23 Pacesetter, Inc. Temperature sensor for a leadless cardiac pacemaker
US9020611B2 (en) 2010-10-13 2015-04-28 Pacesetter, Inc. Leadless cardiac pacemaker with anti-unscrewing feature
EP2651502B1 (en) 2010-12-13 2016-11-09 Pacesetter, Inc. Pacemaker retrieval systems
EP2651494B1 (en) 2010-12-13 2017-02-15 Pacesetter, Inc. Delivery catheter
EP2651499B1 (en) * 2010-12-15 2020-03-11 Cardiac Pacemakers, Inc. Active fixation implantable lead with rotation stop features
JP2014501584A (en) * 2010-12-20 2014-01-23 ナノスティム・インコーポレイテッド Leadless space maker with radial fixing mechanism
US8473051B1 (en) 2010-12-29 2013-06-25 Cardialen, Inc. Low-energy atrial cardioversion therapy with controllable pulse-shaped waveforms
JP2014500776A (en) 2011-01-14 2014-01-16 カーディアック ペースメイカーズ， インコーポレイテッド Implantable active fixation lead with biodegradable helical tip
US8761880B2 (en) 2011-03-14 2014-06-24 Cardiac Pacemakers, Inc. His capture verification using electro-mechanical delay
WO2013067496A2 (en) 2011-11-04 2013-05-10 Nanostim, Inc. Leadless cardiac pacemaker with integral battery and redundant welds
US20140018892A1 (en) * 2012-07-16 2014-01-16 St. Jude Medical Ab Implantable medical lead
US10905884B2 (en) 2012-07-20 2021-02-02 Cardialen, Inc. Multi-stage atrial cardioversion therapy leads
US9802054B2 (en) 2012-08-01 2017-10-31 Pacesetter, Inc. Biostimulator circuit with flying cell
US9168382B2 (en) * 2012-10-11 2015-10-27 Cardiac Pacemakers, Inc. Method and apparatus for selective his bundle pacing
EP2719425B1 (en) * 2012-10-12 2015-04-08 Sorin CRM SAS Implantable cardiac stimulation probe along the ventricular septal wall and/or the left ventricle free wall
US8868178B2 (en) 2012-12-11 2014-10-21 Galvani, Ltd. Arrhythmia electrotherapy device and method with provisions for mitigating patient discomfort
US10071243B2 (en) 2013-07-31 2018-09-11 Medtronic, Inc. Fixation for implantable medical devices
EP3033145B1 (en) 2013-08-16 2021-09-22 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker and retrieval device
US10722723B2 (en) 2013-08-16 2020-07-28 Cardiac Pacemakers, Inc. Delivery devices and methods for leadless cardiac devices
EP3033146B1 (en) 2013-08-16 2018-03-07 Cardiac Pacemakers, Inc. Delivery devices for leadless cardiac devices
US9480850B2 (en) 2013-08-16 2016-11-01 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker and retrieval device
BR112016003148B1 (en) 2013-08-16 2021-01-12 Cardiac Pacemakers, Inc. non-shunt cardiac pacing devices
US9492674B2 (en) 2013-08-16 2016-11-15 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker with delivery and/or retrieval features
US10842993B2 (en) 2013-08-16 2020-11-24 Cardiac Pacemakers, Inc. Leadless cardiac pacing devices
US9393427B2 (en) 2013-08-16 2016-07-19 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker with delivery and/or retrieval features
US9795781B2 (en) 2014-04-29 2017-10-24 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker with retrieval features
WO2015168153A1 (en) 2014-04-29 2015-11-05 Cardiac Pacemakers, Inc. Leadless cardiac pacing devices including tissue engagement verification
US10463853B2 (en) 2016-01-21 2019-11-05 Medtronic, Inc. Interventional medical systems
US10099050B2 (en) 2016-01-21 2018-10-16 Medtronic, Inc. Interventional medical devices, device systems, and fixation components thereof
US10758733B2 (en) 2017-09-15 2020-09-01 Medtronic, Inc. Implantable medical device with retractable fixation sheath
JP7036920B2 (en) 2017-11-06 2022-03-15 ペースセツター、インコーポレイテツド Biostimulator with fixed elements
US10799703B2 (en) 2017-12-22 2020-10-13 Medtronic, Inc. Evaluation of his bundle pacing therapy
US10668290B2 (en) 2018-03-01 2020-06-02 Medtronic, Inc. Delivery of pacing therapy by a cardiac pacing device
US10918870B2 (en) 2018-03-07 2021-02-16 Medtronic, Inc. Atrial lead placement for treatment of atrial dyssynchrony
US10695558B2 (en) 2018-07-15 2020-06-30 Eagle Point Medical LLC Single conduit multi-electrode cardiac pacemaker and methods of using thereof
US10729902B1 (en) 2018-07-15 2020-08-04 Eagle Point Medical LLC Intraseptal multi-electrode cardiac pacemaker and methods of use thereof
US10406370B1 (en) 2018-07-15 2019-09-10 Eagle Point Medical LLC Single conduit multi-electrode cardiac pacemaker and methods of using thereof
US11000689B2 (en) 2018-07-15 2021-05-11 Eagle Point Medical LLC Leadless multi-electrode cardiac pacemakers and methods of implantation thereof
US11577086B2 (en) 2018-08-20 2023-02-14 Pacesetter, Inc. Fixation mechanisms for a leadless cardiac biostimulator
US11648397B1 (en) 2018-10-12 2023-05-16 Vincent Gaudiani Transcoronary sinus pacing of posteroseptal left ventricular base
US11577075B1 (en) 2018-10-12 2023-02-14 Vincent A. Gaudiani Transcoronary sinus pacing of his bundle
USD894396S1 (en) 2019-03-08 2020-08-25 Pacesetter, Inc. Leadless biostimulator attachment feature
US11541243B2 (en) 2019-03-15 2023-01-03 Pacesetter, Inc. Biostimulator having coaxial fixation elements
US11759632B2 (en) 2019-03-28 2023-09-19 Medtronic, Inc. Fixation components for implantable medical devices
US20210106839A1 (en) * 2019-10-14 2021-04-15 Medtronic, Inc. Adjustable lead systems for cardiac septal wall implantation
US11529522B2 (en) 2020-08-31 2022-12-20 Pacesetter, Inc. Systems and methods for implanting a medical device using an active guidewire
EP4217053A1 (en) * 2020-09-23 2023-08-02 Rocky Mountain Biphasic, Inc. Cardiac pacing via the distal purkinje system with ultra-short pulse widths

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4146036A (en) * 1977-10-06 1979-03-27 Medtronic, Inc. Body-implantable lead with protector for tissue securing means
US4217913A (en) * 1977-10-10 1980-08-19 Medtronic, Inc. Body-implantable lead with protected, extendable tissue securing means
US4762136A (en) * 1987-02-19 1988-08-09 Intermedics, Inc. Low polarization pacing electrodes for capture verification
US6269272B1 (en) * 1999-08-03 2001-07-31 Intermedics, Inc. Cardiac pacemaker lead with dual pitch fixation apparatus

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3472234A (en) 1967-08-15 1969-10-14 Gen Electric Body organ electrode
US4000745A (en) 1968-08-05 1977-01-04 Goldberg Edward M Electrical leads for cardiac stimulators and related methods and means
DE2533766C2 (en) 1975-07-29 1986-01-23 Hans-Jürgen Dipl.-Ing. 5100 Aachen Bisping Implantable transvenous pacemaker lead
DE2539553A1 (en) 1975-09-05 1977-03-10 Osypka Peter ELECTRODE ARRANGEMENT FOR MEDICAL PURPOSES
US4106512A (en) * 1976-12-16 1978-08-15 Medtronic, Inc. Transvenously implantable lead
US4166469A (en) * 1977-12-13 1979-09-04 Littleford Philip O Apparatus and method for inserting an electrode
US4570642A (en) 1983-09-23 1986-02-18 Daig Corporation Endocardial extendable screw-in lead
HU194499B (en) * 1986-01-08 1988-02-29 Peter Polgar Electrode-catheter for ablation of his fascicle
US5076285A (en) 1990-03-30 1991-12-31 Medtronic, Inc. Screw-in lead
US5246014A (en) 1991-11-08 1993-09-21 Medtronic, Inc. Implantable lead system
US6296630B1 (en) * 1998-04-08 2001-10-02 Biocardia, Inc. Device and method to slow or stop the heart temporarily
US6609027B2 (en) * 2001-02-23 2003-08-19 Pacesetter, Inc. His Bundle sensing device and associated method

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4146036A (en) * 1977-10-06 1979-03-27 Medtronic, Inc. Body-implantable lead with protector for tissue securing means
US4217913A (en) * 1977-10-10 1980-08-19 Medtronic, Inc. Body-implantable lead with protected, extendable tissue securing means
US4762136A (en) * 1987-02-19 1988-08-09 Intermedics, Inc. Low polarization pacing electrodes for capture verification
US6269272B1 (en) * 1999-08-03 2001-07-31 Intermedics, Inc. Cardiac pacemaker lead with dual pitch fixation apparatus

Also Published As

Publication number Publication date
WO2003030988B1 (en) 2003-08-07
WO2003030988A2 (en) 2003-04-17
US7027876B2 (en) 2006-04-11
US20030083727A1 (en) 2003-05-01

Similar Documents

Publication Publication Date Title
WO2003030988A3 (en) Lead system for providing electrical stimulation to the bundle of his
CA2468871A1 (en) Threaded suture anchor and method of use
WO2003072165A3 (en) Ultrasound assembly for use with a catheter
WO2007130900A3 (en) Lead with fibrous matrix coating
JP2004167081A5 (en)
CA2153091A1 (en) Needle protector sheath
WO2007078360A3 (en) Lead interconnections and reinforcement
CA2198100A1 (en) Implantable endocardial lead with self-healing retractable fixation apparatus
CA2402137A1 (en) Device for connecting a catheter onto a guide-wire
US20030233139A1 (en) Technique for fixating a lead
CA2332551A1 (en) Guidewire and catheter locking device and method
WO2000001441A3 (en) Cardiac pacemaker lead with extendable/retractable fixation
CA2268882A1 (en) Temporary transvenous endocardial lead
WO2002056958A3 (en) Medical device connector fitting
WO2003089049B1 (en) Implantable lead with improved conductor lumens
WO2003041793A3 (en) Cardiac lead with steroid eluting ring
WO2004096015A3 (en) Steerable kink-resistant sheath
WO2002047755A3 (en) Dock exchange system for composite guide wires
WO2005030025A3 (en) Stimulation for treating and diagnosing conditions
WO2000027469A3 (en) Extractable implantable medical lead
WO2000067832A3 (en) Balloon anchor wire
CA2194744A1 (en) Active fixation medical electrical lead having improved turning tool
CA2351901A1 (en) Surgical helical fastener with applicator
CA2467180A1 (en) Suture anchor with improved drive head
CA2250875A1 (en) Electrophysiology catheter with a bullseye electrode

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): CA

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FR GB GR IE IT LU MC NL PT SE SK TR

121 Ep: the epo has been informed by wipo that ep was designated in this application
B Later publication of amended claims

Free format text: 20030609

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
122 Ep: pct application non-entry in european phase
NENP Non-entry into the national phase

Ref country code: JP

WWW Wipo information: withdrawn in national office

Country of ref document: JP